{"created":"2023-06-20T15:48:38.655159+00:00","id":771,"links":{},"metadata":{"_buckets":{"deposit":"b39c1f34-81e7-4740-9b82-6e00fcbfab81"},"_deposit":{"created_by":18,"id":"771","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"771"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00000771","sets":["99:64:66"]},"author_link":["0","0"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"5","bibliographicPageStart":"1","bibliographicVolumeNumber":"17","bibliographic_titles":[{"bibliographic_title":"徳島赤十字病院医学雑誌"},{"bibliographic_title":"Tokushima Red Cross Hospital Medical Journal","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"成人の鼠径ヘルニア修復術は様々な手術方法があるが、現在では人工物によるtension-free の修復術が主流となっている．中でも腹膜前腔から後方アプローチによる鼠径管後壁の修復は解剖学的に理にかなった修復術と思われる．当院では2009年7月よりKugel 法を導入．それ以前はmesh plug 法を主に施行していた．Kugel 法は腹膜前腔にパッチを挿入し筋恥骨孔全体を補強することで内外鼠径ヘルニア、大腿ヘルニアを予防できる．また、術後の疼痛が軽度であること、術後早期離床が可能であることから入院期間の短縮、パスの簡略化にもつながっている．2005年10月1日～2010年9月30日までに施行したmesh plug 法394例と2009年8月以降に施行したKugel 法84例を比較検討した．再発率はそれぞれ8（202％）、3例（3.5％）であった．また平均在院日数は6日と4.5日であった．Kugel法3例の再発症例の理由としては手術手技が未熟でヘルニア分類Ⅱ-1をカバー出来ず再発したと考えられた．症例数を増やし手術手技が安定すればmesh plug 法より入院期間が短く、再発率も低下すると思われる．","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"徳島赤十字病院"}]},"item_10002_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"徳島赤十字病院"}],"subitem_relation_type_id":{}}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-9878 ","subitem_source_identifier_type":"ISSN"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"松岡, 裕"},{"creatorName":"石倉, 久嗣"},{"creatorName":"藏本, 俊輔"},{"creatorName":"松本, 大資"},{"creatorName":"古川, 尊子"},{"creatorName":"木原, 歩美"},{"creatorName":"浜田, 陽子"},{"creatorName":"湯浅, 康弘"},{"creatorName":"沖津, 宏"},{"creatorName":"木村, 秀"},{"creatorName":"阪田, 章聖"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2012-08-03"}],"displaytype":"simple","filename":"trchmj1701_1-5.pdf","filesize":[{"value":"1.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf001323","url":"https://redcross.repo.nii.ac.jp/record/771/files/trchmj1701_1-5.pdf"},"version_id":"e158d3c1-1a97-4781-ba97-2936426ba648"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"鼠径ヘルニア","subitem_subject_scheme":"Other"},{"subitem_subject":"Kugel 法","subitem_subject_scheme":"Other"},{"subitem_subject":"mesh plug 法","subitem_subject_scheme":"Other"},{"subitem_subject":"inguinal hernia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Kugel technique","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"mesh plug technique","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"当院における鼠径ヘルニア修復術の変遷と現状","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当院における鼠径ヘルニア修復術の変遷と現状"},{"subitem_title":"Changes and Current Status of Inguinal Hernia Repair at Our Hospital","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"18","path":["66"],"pubdate":{"attribute_name":"公開日","attribute_value":"2012-06-30"},"publish_date":"2012-06-30","publish_status":"0","recid":"771","relation_version_is_last":true,"title":["当院における鼠径ヘルニア修復術の変遷と現状"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-20T21:04:18.962293+00:00"}